Kanwal Hassan, | |
10722 Arrow Rte Ste 712, Rancho Cucamonga, CA 91730-4841 | |
(760) 949-1850 | |
Not Available |
Full Name | Kanwal Hassan |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 10722 Arrow Rte Ste 712, Rancho Cucamonga, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528716875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | High Desert Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
Mailing Address | Practice Location Address |
---|---|
Kanwal Hassan, Po Box 1315, Upland, CA 91785-1315 Ph: (909) 731-6701 | Kanwal Hassan, 10722 Arrow Rte Ste 712, Rancho Cucamonga, CA 91730-4841 Ph: (760) 949-1850 |
Domeiqua D Smoot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Haven Ave, 100, Rancho Cucamonga, CA 91730 Phone: 909-980-6700 Fax: 909-980-6003 | |
Brandon Ty Treadwell, BACHELOR'S DEGREE Counselor Medicare: Not Enrolled in Medicare Practice Location: 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730 Phone: 909-980-2789 | |
Miss Amanda Brizuela, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-980-6700 | |
Ms. Porsche Monic Terry, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6949 Saddleback Pl, Rancho Cucamonga, CA 91701 Phone: 909-353-3760 Fax: 877-357-2847 | |
Carmen Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9047 Arrow Rte Ste 170, Rancho Cucamonga, CA 91730 Phone: 909-466-8696 | |
Karina Lizeth Mancillas Sandoval, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9631 Business Center Dr, Bldg. 14, Ste. D, Rancho Cucamonga, CA 91730 Phone: 909-948-5747 | |
Miss Sandra Alcantar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Etiwanda Ave, Rancho Cucamonga, CA 91739 Phone: 909-463-5284 |